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Question: Female, age 73 admitted for chest pain upon exertion PMH: obstructive sleep apnea, diabetes mellitus type 2, hypertension, glucose intolerance, hypercholesterolemia, hypertriglyceridemia, family history of sudden death, and smoking cessation at the age of 51 years. VS and assessment: heart rate of 60 bpm, blood pressure of 150/80, temp 36.9, RR 20 and oxygen saturation of 88% on room air Heart and lung examinations were normal. No edema and her pulses were symmetrical. The ECG revealed sinus rhythm with ST depression noted in 2 leads Pertinent labs: HGB: 12.5 Platelets: 90,000 Creatinine 0.2 Potassium 3.8 Magnesium 0.6 Recognize cues What risk factors does the patient have? what cues what is recognize and Analyze cues what is Prioritize hypothesis what is Generate solutions how to Take action evaluate outcomes
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